Individual provider Active NPI

Nicholaus Mize, D.O

  • Internal Medicine Physician
  • Loveland, CO
National Provider Identifier
1629459482
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
DR.0061867 Issued in CO
Practice address
221 E 29TH St Ste 202
Loveland, CO 80538-2746
Phone
(970) 203-7050
Fax
(970) 203-7055
NPI assigned
Jun 17, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X DR.0061867 CO Primary

Addresses

Primary practice location

221 E 29TH St Ste 202
Loveland, CO 80538-2746

Mailing address

2695 Rocky Mountain Ave Ste 150
Loveland, CO 80538-9071
Phone (970) 203-7050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190710001852 CO Practitioner - Internal Medicine 9830424019 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Poudre Valley Medical Group LLCGroup PAC ID 9638208549, 2,425 clinicians
Select Physical Therapy of West Denver Limited PartnershipGroup PAC ID 6709771157, shared by 5 NPIs, 530 clinicians
Intermountain Front Range, Inc.Group PAC ID 6800799537, 20 clinicians

Practice addresses (Care Compare)

221 E 29TH St
Suite 202
Loveland, CO 80538-2746
Phone (970) 624-5170

2964 Ginnala Dr
Loveland, CO 80538-2701
Phone (970) 667-7755

3210 Lutheran Pkwy
Wheat Ridge, CO 80033-6019
Phone (303) 425-8000

Hospital & facility affiliations

  • Intermountain Health Hospice - Denver Hospice, Wheat Ridge, CO, CCN 061508
  • Medical Center of the Rockies Hospital, Loveland, CO, CCN 060119
  • Poudre Valley Hospital Hospital, Fort Collins, CO, CCN 060010
  • Estes Park Medical Center Hospital, Estes Park, CO, CCN 061312
  • Longs Peak Hospital Hospital, Longmont, CO, CCN 060128
  • Uchealth Greeley Hospital Hospital, Greeley, CO, CCN 060131

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
DR.0061867COMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Front Range, Inc. Internal Medicine Current Accepting new patients
Intermountain Front Range, Inc. CurrentSince Apr 24, 2023 Accepting new patients
Intermountain Front Range, Inc. CurrentSince Apr 24, 2023 Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Aug 19, 2024 Accepting new patients
Poudre Valley Medical Group, LLC Current Accepting new patients

Locations

4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260

8890 N Union Blvd
Colorado Springs, CO 80920
Phone (719) 364-5633

555 Prospect Ave
Ph
Estes Park, CO 80517
Phone (970) 586-2317

555 Prospect Ave
Estes Park, CO 80517
Phone (970) 586-2200

555 Prospect Ave
Ste A
Estes Park, CO 80517
Phone (970) 586-2229

221 E 29th St
Ste 202
Loveland, CO 80538
Phone (970) 203-7050

2695 Rocky Mountain Ave
Ste 150
Loveland, CO 80538
Phone (970) 624-2412

221 E 29th St
Ste 102
Loveland, CO 80538
Phone (970) 224-3636

500 Discovery Pkwy
Ste 100
Superior, CO 80027
Phone (303) 403-7800

3210 Lutheran Pkwy
Wheat Ridge, CO 80033
Phone (303) 425-8000

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 22

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 22

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1434499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1629459482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2695 ROCKY MOUNTAIN AVE STE 150",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805389071",
            "telephone_number": "970-203-7050",
            "fax_number": "970-203-7055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 E 29TH ST STE 202",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805382746",
            "telephone_number": "970-203-7050",
            "fax_number": "970-203-7055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIZE",
        "first_name": "NICHOLAUS",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-17",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "DR.0061867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loveland, CO

Sources for this page

Verify at the official NPI Registry.